Provider Demographics
NPI:1497144463
Name:CLAYTON, TONI DAWN
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:DAWN
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SHADY REST RD
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-4865
Mailing Address - Country:US
Mailing Address - Phone:931-247-1176
Mailing Address - Fax:931-836-2258
Practice Address - Street 1:396 N SPRING ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1327
Practice Address - Country:US
Practice Address - Phone:931-836-2228
Practice Address - Fax:931-836-2258
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other